Individual
LYNN BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24426 DREW GAP, SAN ANTONIO, TX 78255-2283
(630) 479-5072
Mailing address
24426 DREW GAP, SAN ANTONIO, TX 78255-2283
(630) 479-5072
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
343211
TX
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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